TITLE:
Artificial Induction of Labor with Misoprostol: Maternal and Fetal Prognosis at the Referral Health Center of Commune I of the District of Bamako
AUTHORS:
Mamadou Bakary Coulibaly, Alassane Traoré, Mody Abdoulaye Camara, Mamadou Sima, Bourama Kané, Kalba Tembiné, Ibrahima Tégueté, Youssouf Traoré
KEYWORDS:
Induction, Misoprostol, Maternal and Fetal Prognosis, Commune I
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.11 No.2,
February
8,
2021
ABSTRACT: Artificial induction of labor (AIL) is the set of
techniques intended to induce childbirth in order to reduce maternal-fetal
mortality. The aim of this paper was to study the maternal and fetal prognosis
after the artificial induction of labor with misoprostol. It was a descriptive
prospective study conducted from September 1, 2018 to February 28, 2019 at the
maternity unit of the Referral Health Center (RHC) in commune I of Bamako. It
was about any pregnant woman at term who had received misoprostol as part of
the artificial induction of labor. 102 cases of artificial induction with
misoprostol 200 μg were collected out of 3641 deliveries, or a frequency of
2.8%. The age group 28 - 32 years accounted for 56.86% with an average age of
28.8 years. Multiparous represented 54.90% of the number. The history of
diabetes and hypertension involved 37.25% of the pregnant women. The main
indication was premature rupture of membranes (PRM) (40.2%). Induction was
performed between the 37th and 41st week of amenorrhea
(69.6%). The trigger index according to BISHOP was greater than 7 (50.98%).
Induction was done only with 3/4 of misoprostol tablet 200 μg (43.14%). The
average labor time was 7 hours (89.22%). The vaginal birth concerned 92.16% of
pregnant women. An APGAR10 was noted in 97.85% of newborns after 05 minutes. AIL
with misoprostol was practiced at the Center. The main indication was the
premature rupture of the membranes. It improves the maternal and fetal
prognosis.